Individual
MRS. SHLONDA BROWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1928 KISSINGBOWER RD, AUGUSTA, GA 30904-5158
(803) 215-4532
Mailing address
98 BRANCH CT, BEECH ISLAND, SC 29842-9475
(803) 215-4532
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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